Laserfiche WebLink
REC�Jy <br /> a Q, <br /> • - • 1 i STATEMENT OF ECONOMIC INTE�.�STS APR 1 6° bl """''' <br /> DOCUMENT FAIR POLITICAL PRACTICES COMMISSION <br /> A PUBLIC COVER PAGE City of Riverside <br /> Please type or print in ink. CftY Cl'erk's Office <br /> NAME OF FILER (LAST) (FIRST) (MIDDLE) <br /> If NA13A AWTHONY � <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> 6-c- R, v r <br /> lion, B a'r d, Department, Di rict, if applicable Your Position <br /> ix s <br /> "71 l s-f//'7 <br /> ► If filing for multiple positions, list below or on an attachment. <br /> Agency: Position: <br /> 2. Jurisdiction of Office (Check at least one box) <br /> ❑State ❑Judge or Court Commissioner(Statewide Jurisdiction) <br /> ❑Multi-County ❑County of <br /> City of ❑Other <br /> 3. Type of Statement (Check at least one box) <br /> ® Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left I <br /> -or- <br /> December 31,2012. (Check one) <br /> The period covered is I through O The period covered is January 1, 2012, through the date of <br /> December 31, 2012. leaving office. <br /> ❑ Assuming Office: Date assumed 1 O The period covered is_J— I through <br /> the date of leaving office. <br /> ❑ Candidate: Election year and office sought, if different than Part 1: <br /> 4. Schedule Summary <br /> Check applicable schedules or"None." ► Total number of pages including this cover page: <br /> ❑ Schedule A-1 - Investments-schedule attached ❑ Schedule C- Income, Loans, &Business Positions-schedule attached <br /> ❑ Schedule A-2- Investments-schedule attached ❑ Schedule D-Income-Gifts-schedule attached <br /> 2 Schedule B- Real Property-schedule attached ❑ Schedule E-Income-Gifts-Travel Payments-schedule attached <br /> -or- <br /> F-1 None- No reportable interests on any schedule <br /> 5. Verification <br /> MAILING ADDRESS STREET CITY STATE ZIP CODE <br /> R IVF—P?S (D E CA 1267OC, <br /> E-MAIL ADDRESS OPTIONAL <br /> I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information contained <br /> herein and in any attached schedules is true and complete. I acknowledge this is a public document. <br /> I certify under penalty of perjury under the laws of the State of California that th <br /> Date Signed _/— /_-3 Signature <br /> (month,day,year) (File the gmally signed statement with your filing official.) <br /> FPPC Form 700(2012/2013) <br /> FPPC Advice Email:advice@fppc.ca.gov <br /> FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov <br />